- URINARY INCONTINENCE in Elderly (5 Major Types)
- Urge (Detrusor Instability) : Bladder Training, Pelvic Muscle Rehabilitation, Fluid Management, Anti-Cholinergics, TCA
- Stress
- In Young Patient (When Bladder is Full, and Normal Post Void Residual Volume): Due to Urethral Hypermobility; Pelvic Muscle Rehab, and Bladder Training, Surgery may be the first line of treatment
- In Old Patient (Even on Empty bladder, and Normal Post Void Residual Volume): Intrinsic Sphincter deficiency ; Pelvic Muscle Rehab and Bladder Training)
- Treatment:
- Non-pharmacological: Risk factors modification; Kegel Exercise
- Pharmacological: Estrogen Cream; Dulexetine
- Surgical:
- Mixed
- Overflow
- Functional
- Tool
- Treatment (Divide into 3 categories)
- Non-pharmacological
- Pharmacological
- Surgical
Ref: ACP PIER Urinary incontinence in women BMJ 2014 Idiopathic Urgency Urinary Incontinence NEJM 2009 Urinary Stress Incontinence in Women NEJM 2008
- OVERACTIVE BLADDER SYNDROME: Frequncy, Nocturia with or without Urge Incontinence; in the absence of UTI or obvious lesion
- Dry: without Urge Incontinence
- Wet: with Urge Incontinence
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